Failure of oral antibiotic therapy, including azithromycin, in the treatment of a recurrent breast abscess caused by Salmonella enterica serotype Paratyphi A

Shelanah Fernando; Janice Gail Molland; Thomas Gottlieb

doi:10.1179/2047773212Y.0000000010

Failure of oral antibiotic therapy, including azithromycin, in the treatment of a recurrent breast abscess caused by Salmonella enterica serotype Paratyphi A

Pathog Glob Health. 2012 Oct;106(6):366-9. doi: 10.1179/2047773212Y.0000000010.

Authors

Shelanah Fernando¹, Janice Gail Molland, Thomas Gottlieb

Affiliation

¹ Concord Repatriation General Hospital, Sydney, Australia. sfer3188@gmp.usyd.edu.au

Abstract

We report a case of recurrent, multifocal Salmonella enterica serotype Paratyphi A breast abscesses, resistant to ciprofloxacin, which relapsed despite surgery, aspiration and multiple courses of antibiotics, including co-trimoxazole and azithromycin. The patient was cured after a prolonged course of intravenous ceftriaxone.

Publication types

Case Reports

MeSH terms

Abscess / drug therapy*
Abscess / microbiology
Abscess / surgery
Administration, Oral
Adult
Anti-Bacterial Agents / administration & dosage*
Anti-Bacterial Agents / pharmacology
Azithromycin / administration & dosage*
Breast Diseases / drug therapy*
Breast Diseases / microbiology
Breast Diseases / surgery
Ceftriaxone / administration & dosage
Ciprofloxacin / pharmacology
Drug Resistance, Bacterial
Female
Humans
Infusions, Intravenous
Paratyphoid Fever / drug therapy*
Paratyphoid Fever / surgery
Recurrence
Salmonella paratyphi A / isolation & purification*
Suction
Treatment Outcome
Trimethoprim, Sulfamethoxazole Drug Combination / administration & dosage

Substances

Anti-Bacterial Agents
Ciprofloxacin
Ceftriaxone
Trimethoprim, Sulfamethoxazole Drug Combination
Azithromycin